| NPI | 1194224386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9364594) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95012152) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2021-04-30 |